{"id":36101,"date":"2016-02-03T17:05:52","date_gmt":"2016-02-03T16:05:52","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=36101"},"modified":"2016-02-03T17:06:42","modified_gmt":"2016-02-03T16:06:42","slug":"soumyadeep-bhaumiks-review-of-south-asian-medical-papers-february-2016","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2016\/02\/03\/soumyadeep-bhaumiks-review-of-south-asian-medical-papers-february-2016\/","title":{"rendered":"Soumyadeep Bhaumik\u2019s review of South Asian medical papers\u2014February 2016"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-36008\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2016\/01\/soumyadeep-bhaumik.jpg\" alt=\"soumyadeep bhaumik\" width=\"158\" height=\"151\" \/>We are now officially in a new era of\u00a0global health\u2014the era of the Sustainable Development Goals. The month of January saw the publication of some papers from South Asia which provides an opportunity to learn from the previous era of Millennium Development Goals.<!--more--><\/p>\n<p>Reducing the number of maternal and neonatal deaths has been a challenge\u00a0in South Asia and the\u00a0vast majority of global deaths occur in this population\u2014many of them at home. <a href=\"http:\/\/journals.plos.org\/plosone\/article?id=10.1371\/journal.pone.0146161\">A study from rural Bangladesh<\/a> on why women still prefer a home delivery with traditional birth attendants revealed\u00a0some interesting things. Apart from financial constraints and several gender related social issues, it identifies two factors that might be something for public health experts to take notice of\u2014people still do not have information on service delivery points and they think\u00a0that going to facilities might result in\u00a0unnecessary Caesarean sections.<\/p>\n<p>The quantitative evidence for unnecessary Caesarean sections is available from the other side of the border in India where <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4712220\/\">a study found that rates of Caesarean section<\/a>s\u00a0has increased from 26.6% to 40.7% in a span of just three years (The WHO recommends health facilities should have between 20-25%). The solution to positively modify gender related social constructs for healthcare outcomes probably lies in using participatory women\u2019s groups, as a large<a href=\"http:\/\/jech.bmj.com\/content\/early\/2016\/01\/06\/jech-2015-205855.long\">\u00a0study from Bangladesh found<\/a>. Learning points from the study are to invest in health information, regulate the private sector, and engage the community in\u00a0&#8220;sustainable goals.&#8221;<\/p>\n<p><a href=\"http:\/\/link.springer.com\/article\/10.1007%2Fs00520-015-2757-y\">A study from PGI<\/a>, Chandigarh in India which explored the financial burden of paediatric acute lymphoblastic leukemia found that the mean distance that\u00a0families travelled to hospital\u00a0was about 260 kilometres. It found that the monthly healthcare expense was\u00a0more than seven times the average monthly per capita income, and 34% of fathers lost their jobs while they were seeking care for their child. The learning point from this paper is that more big, specialised, tertiary-care hospitals are not the solution. There is a need to develop primary and secondary healthcare.<\/p>\n<p>Now that using &#8220;trained&#8221; quacks is being considered as a strategy to counter the shortage of doctors in rural India (<a href=\"http:\/\/www.bmj.com\/content\/352\/bmj.i291\">BMJ report<\/a>) a very timely <a href=\"http:\/\/www.e-ijd.org\/article.asp?issn=0019-5154;year=2016;volume=61;issue=1;spage=75;epage=77;aulast=Bonde\">case report and literature review in <em>Indian Journal of Dermatology<\/em><\/a> points towards the need for medical doctors to be \u201caware of different quackery practices rampant in various geographical regions.\u201d<\/p>\n<p><a href=\"http:\/\/www.issuesinmedicalethics.org\/index.php\/ijme\/article\/view\/2306\/4872\">This article<\/a> by the former Health Secretary of India provides a brilliant perspective on how reforms for improvement has been stalled and shelved due to corruption and how this has led to the growth of the private sector. Corruption is indeed an all pervading issue in South Asia and implementing anything that could counter it would probably be the key for actual realisation of sustainable development goals.<\/p>\n<p><em><strong>Soumyadeep Bhaumik<\/strong> is a medical doctor from India and he works on evidence synthesis and public health. He is currently studying international public health at the Liverpool School of Tropical Medicine. All opinions are personal. Twitter <a href=\"https:\/\/twitter.com\/drsoumyadeepb\">@DrSoumyadeepB<\/a>.<\/em><\/p>\n<p><em><strong>Competing interests:<\/strong> I have read and understood BMJ policy on declaration of interests and declare that I currently serve in an editorial position at the Journal of Family Medicine and Primary Care and have previously had positions at other journals. I have no other relevant conflicts of interests to declare.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>We are now officially in a new era of\u00a0global health\u2014the era of the Sustainable Development Goals. The month of January saw the publication of some papers from South Asia which [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/02\/03\/soumyadeep-bhaumiks-review-of-south-asian-medical-papers-february-2016\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[447],"tags":[],"class_list":["post-36101","post","type-post","status-publish","format-standard","hentry","category-india"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Soumyadeep Bhaumik\u2019s review of South Asian medical papers\u2014February 2016 - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2016\/02\/03\/soumyadeep-bhaumiks-review-of-south-asian-medical-papers-february-2016\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Soumyadeep Bhaumik\u2019s review of South Asian medical papers\u2014February 2016 - The BMJ\" \/>\n<meta property=\"og:description\" content=\"We are now officially in a new era of\u00a0global health\u2014the era of the Sustainable Development Goals. 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